Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, Al Azhar University, Gaza, Palestine.
J Infect Public Health. 2012 Mar;5(1):43-51. doi: 10.1016/j.jiph.2011.10.006. Epub 2011 Nov 30.
This study was conducted in general operating theaters at public and private hospitals in the Gaza Strip, Palestine to determine the prevalence of bacterial contamination of different objects.
Swabs were collected from 21 items that were distributed over three categories (equipment, environment and personnel). In total, 243 swabs were collected at pre- and post-operation stages and were cultured and identified using standard microbiological procedures.
The results show that 24.7% of the swabs were contaminated with microorganisms. The equipment, environment and personnel were responsible for 45%, 48.3% and 6.7% of contamination, respectively. The rate (26.9%) of contamination in the post-operation samples was higher than in the pre-operation samples (22.6%), but the difference was not statistically significant. In addition, there was not a statistically significant increase in the prevalence of contamination in private (28.7%) compared to public hospitals (21.8%). Of the seven bacterial genera that were recovered, the highest percentage belonged to Staphylococcus spp. (45.3%) followed by Enterobacter spp. (23.4%).
This study reveals a moderate percentage of contamination in our public and private hospital general operating theaters, which may increase the risk factors for developing surgical-site infections. These observations justify more attention being paid to infection-control efforts in our hospitals.
本研究在加沙地带的公立医院和私立医院的普通手术室进行,旨在确定不同物体的细菌污染情况。
从设备、环境和人员三个类别中采集了 21 个物品的拭子。共采集了 243 个术前和术后的拭子,并使用标准微生物学程序进行培养和鉴定。
结果显示,24.7%的拭子被微生物污染。设备、环境和人员分别占污染的 45%、48.3%和 6.7%。术后样本的污染率(26.9%)高于术前样本(22.6%),但差异无统计学意义。此外,私立医院(28.7%)与公立医院(21.8%)相比,污染率没有统计学上的显著增加。在回收的 7 个细菌属中,最高比例属于葡萄球菌属(45.3%),其次是肠杆菌属(23.4%)。
本研究揭示了我们公立医院和私立医院普通手术室存在中度污染,这可能增加了手术部位感染的风险因素。这些观察结果表明,我们的医院需要更加重视感染控制工作。